If you are eligible to participate in the Midnight Metabolism program, you will have the option to schedule a prescription fill with a video visit or, depending on the state, schedule a prescription fill without a video visit. Once you select your prescription fill type, you will be asked to sign up for one of our monthly subscription services. Once paid, you will be prompted to create a password for your account. Note: your username is the email address you signed up with. After creating your password, the next step is to complete your initial health history intake form. You can access it directly after signup or later through the portal. During your first appointment, your provider will discuss your health goals, review your medical history, order any necessary lab tests, and may prescribe medication if appropriate. After starting a weight loss medication, regular follow-up visits may be scheduled—typically once a month at the beginning. Your provider will monitor your progress, medication tolerance, lab tests, and adjust treatment as needed.

While prescriptions for weight loss medication cannot be guaranteed, individuals 18 years or older who meet criteria such as BMI and certain associated health conditions may qualify. Generally, eligible patients include individuals with overweight (BMI > 25) or patients seeking maintenance therapy who have a BMI > 22 and, if their current BMI < 27, have a history of obesity or overweight and were previously on a GLP-1 within the past 12 months.

At this time, patients must be at least 18 years old to participate in the program.

Midnight Metabolism offers multiple subscription types, all of which include comprehensive coaching and services with no hidden fees, membership costs, or lab charges. Subscription charges may appear on your credit card as "OPNLP Midnight Metabolism". Your care team will help determine the most affordable medication based on your insurance. GLP-1 prescriptions are often more cost-effective when covered by insurance. For uninsured or underinsured patients, your provider may help find discount options or more affordable alternatives.

If your BMI drops below 25, your insurance may no longer cover GLP-1 medications. Your provider will reassess whether continuing medication is clinically appropriate. Some patients may still qualify for maintenance therapy depending on their clinical history and symptoms.